QUESTIONS 2026 VERIFIED ANSWER KEY
◉ Internal Disaster. Answer: fire, gas leak, shooting, electrical fires
◉ External disaster. Answer: accident, hurricane, volcano
◉ Mass Casualty Incident (MCI). Answer: -influx of victims
overwhelms*** the hospital and affects institution's capability to are
for this influx victims
May require collaboration of multiple agencies and health care
facilities to handle crisis
◉ Goal of MCI. Answer: -Quickly ID stable, minor injuries and can
wait for care (green patients)- have them help out
-ID patients most likely die even with immediate interventions
(black patients)- make sure you keep them out of sight
-Focus care and resources who benefit from rapid
care/interventions (red and yellow)
,◉ Red tag. Answer: Emergent needing immediate attention (class 1)
-critical obvious threat to life or limb, compromised ABCS- tx within
2 hours
◉ Yellow tag. Answer: Can wait short time for care (class II)-delayed,
should not decompensate rapidly if care is delayed [i.e. wounds
dressed, splints applied], military-priority-tx within 4 hours
◉ Green tag. Answer: Non-urgent or "walking wounded" (class III)-
minimal, ambulatory patients, can self treat or tx by non
professional, [i.e. abrasions, contusions, minor lacerations, etc.],
military - routine - tx within 24 hours
◉ Black tag. Answer: Expected to die or are dead (class IV)- most
misunderstood & unpleasant component of triage, PROVIDE
COMFORT CARE (turn on side, morphine) when resources allow***
◉ Black tag patients. Answer: Massive head trauma, Extensive full-
thickness body burns, high cervical spinal cord injury requiring
mechanical ventilation
◉ MCI tx priority. Answer: most likely to survive first
so tx red tag over black tag because black tag means low chance of
survival even with intervention- don't want to waste resources
,◉ Mass casualty vs traditional triage:. Answer: MCI: treat those with
minor injuries first
Trad triage: treat the ones with the worst injuries first
◉ Emergency Preparedness Plan. Answer: Mandated by TJC
-Accredited health care organizations take "all hazards approach" to
disaster planning
◉ HAZMAT Suits. Answer: -Be mindful of people in them, they sweat
and have a chance of hypovolemic shock.
-Switch out every 20 minutes
◉ ER tx. Answer: - treats most severe; out in the field: tx everyone
that has a chance to survive
◉ Hospital Incident Command System. Answer: -Facility
Level organizational model for disaster management
-Emergency Operations Center
-Hospital Incident Commander
Physician or administrator who assumes overall leadership for
implementing the emergency plan
-Medical Command Physician
, Physician who decides the number, acuity, and resource needs of
patients
-Triage Officer
Physician or nurse who rapidly evaluates each patient to determine
priorities for treatment
◉ Emergency Nursing. Answer: -ED nurse must be ready to care for
any person in any situation
-Provide care across developmental continuum
-Emergency department exist in controlled chaos because of the
ever changing environment, NOT predictable
◉ Collaborative role of nurses in emergency care response. Answer:
ED nurse and Physician open two-way communication
-Triage nurse brief assessment
-Primary nurse responsible for a full assessment, chief complaints,
vital signs, findings, diagnosis
-Work collaboratively with health care provider to decide patient's
plan of care
-The RN is responsible for implementing the plan****
◉ Debriefing. Answer: CONFIDENTIAL***
- Incident commander determines when to stop or stand down